Benefits of physical activity in children and adolescents with type 1 diabetes: A systematic review

Absil, Hélène; Baudet, Lia; Robert, Annie; Lysy, Philippe A.

doi:10.1016/j.diabres.2019.107810

Cited by 56 publications

(40 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Exercise may improve glycaemic control, blood lipid profiles, physical fitness and quality of life and can decrease the total daily dose of insulin in children and adolescents with type 1 diabetes, as shown in randomised controlled trials and in a systematic review [84][85][86][87]. Despite the positive effects of exercise, deterioration of diabetes control, fear of hypoglycaemia and other exercise-related fears similar to the ones experienced by children without diabetes are major barriers to an active lifestyle in children and adolescents with type 1 diabetes, as assessed via questionnaire [88].…”

Section: Children and Adolescents With Type 1 Diabetesmentioning

confidence: 99%

Glucose management for exercise using continuous glucose monitoring (CGM) and intermittently scanned CGM (isCGM) systems in type 1 diabetes: position statement of the European Association for the Study of Diabetes (EASD) and of the International Society for Pediatric and Adolescent Diabetes (ISPAD) endorsed by JDRF and supported by the American Diabetes Association (ADA)

et al. 2020

View full text Add to dashboard Cite

Physical exercise is an important component in the management of type 1 diabetes across the lifespan. Yet, acute exercise increases the risk of dysglycaemia, and the direction of glycaemic excursions depends, to some extent, on the intensity and duration of the type of exercise. Understandably, fear of hypoglycaemia is one of the strongest barriers to incorporating exercise into daily life. Risk of hypoglycaemia during and after exercise can be lowered when insulin-dose adjustments are made and/or additional carbohydrates are consumed. Glycaemic management during exercise has been made easier with continuous glucose monitoring (CGM) and intermittently scanned continuous glucose monitoring (isCGM) systems; however, because of the complexity of CGM and isCGM systems, both individuals with type 1 diabetes and their healthcare professionals may struggle with the interpretation of given information to maximise the technological potential for effective use around exercise (i.e. before, during and after). This position statement highlights the recent advancements in CGM and isCGM technology, with a focus on the evidence base for their efficacy to sense glucose around exercise and adaptations in the use of these emerging tools, and updates the guidance for exercise in adults, children and adolescents with type 1 diabetes.

show abstract

Section: Children and Adolescents With Type 1 Diabetesmentioning

confidence: 99%

Glucose management for exercise using continuous glucose monitoring (CGM) and intermittently scanned CGM (isCGM) systems in type 1 diabetes: position statement of the European Association for the Study of Diabetes (EASD) and of the International Society for Pediatric and Adolescent Diabetes (ISPAD) endorsed by JDRF and supported by the American Diabetes Association (ADA)

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The effectiveness of exercise has been demonstrated in a variety of chronic diseases. 1,2 It can improve renal function, reduce blood pressure and blood lipid, and improve depression and weakness, thus improving the patients' quality of life. 3,4 A Cochrane study 5 including 45 studies pertaining to 1863 people showed that regular exercise can improve physical health, cardiovascular indicators, and health-related quality of life in patients with chronic kidney disease.…”

Section: Introductionmentioning

confidence: 99%

Effects of combined aerobic and resistance exercise on renal function in adult patients with chronic kidney disease: a systematic review and meta-analysis

Yang

Wang

et al. 2020

Clin Rehabil

View full text Add to dashboard Cite

Objectives: Combined aerobic and resistance exercise (CARE) is beneficial for improving renal function. To confirm this, we conducted a meta-analysis to evaluate the effects of CARE on renal function in adult patients with chronic kidney disease (CKD). Date sources: The last date of search was 22 February 2020. We searched Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, Allied and Complementary Medicine (AMED), CINAHL, Web of Science, SPORTDiscus, and three Chinese databases (China National Knowledge Infrastructure (CNKI), Wangfang, Journal Integration Platform (VIP)) for articles of randomized and quasi-randomized controlled trials. Methods: We used the Cochrane tool and the JBI Critical Appraisal checklist to assess randomized controlled trials and quasi-randomized controlled trials, respectively. Result: A total of 12 studies and 745 patients were included. Compared with usual care or no exercise, CARE resulted in a significant improvement in the estimated glomerular filtration rate (between-group analysis: mean difference (MD) =5.01, 95% confidence interval (CI): 2.37 to 7.65; within-group analysis: MD = 3.01, 95% CI: 0.86 to 5.16). The serum creatinine levels also showed a significant improvement after CARE (between-group analysis: MD = −8.57, 95% CI: −13.71 to −3.43; within-group analysis: MD = −6.33, 95% CI: −10.23 to −2.44). Patients who performed CARE also demonstrated a decline in the blood pressure in the within-group analysis (systolic blood pressure: MD = −5.24, 95% CI: −7.93 to −2.54; diastolic blood pressure: MD = −3.63, 95% CI: −5.35 to −1.91). However, there were no significant differences in proteinuria, lipid levels, physical composition, and quality of life. Conclusion: The study results support the concept that CARE intervention improves renal function. It provides strong evidence for guiding clinical decisions and implementing renal rehabilitation exercises.

show abstract

“…Meta-analyses by Absil et al, Aljawarneh et al, and Tonoli et al confirmed the positive effects of aerobic training, while emphasizing the ambiguous influence of strength training on glycaemia of patients with type 1 diabetes [32][33][34]. Yardley et al indicated a smaller initial decrease in blood glucose levels during strength training compared to aerobic training [35].…”

Section: Physical Exercise Influence On the Organism Of Patients Withmentioning

confidence: 96%

Physioprophylaxis of type 1 diabetes in children using physical exercise

Zaworski

Ławnik

Kubińska

et al. 2019

hpc

View full text Add to dashboard Cite

Authors' contribution Wkład autorów: A. Study design/planning zaplanowanie badań B. Data collection/entry zebranie danych C. Data analysis/statistics dane-analiza i statystyki D. Data interpretation interpretacja danych E. Preparation of manuscript przygotowanie artykułu F. Literature analysis/search wyszukiwanie i analiza literatury G. Funds collection zebranie funduszy Summary According to the Physiotherapist Act, physioprophylaxis is an important component of physiotherapy and of the physiotherapist's professional activities. Physioprophylaxis can be oriented towards practicing healthy lifestyle behaviours, minimizing disease risk factors, or attenuating the consequences of the disease, surgery, and/or disability. Type 1 diabetes is a chronic metabolic disease characterized by hyperglycaemia, i.e. high blood glucose levels. It is caused by the dysfunction or destruction of β cells of pancreatic islets of Langerhans, which are responsible for the production and secretion of insulin. Type 1 diabetes is most common in children and adolescents. According to the 2018 report, 6,400 children aged 0-14 years and about 180,000 people over 14 years old suffer from type 1 diabetes in Poland alone. Physical activity is an important stimulus for optimal physiological development of children and adolescents, and is an important factor in reducing the risk of cardiovascular diseases, cancer, and mortality. Physical exercise reduces the need for insulin and increases the sensitivity of cells to insulin, so that the daily dose of insulin can be reduced. The Polish Diabetes Association recommends that children with type 1 diabetes should exercise for more than one hour a day in order to reduce the risk of vascular complications associated with the disease. The aim of this paper is to examine the effects of type 1 diabetes physioprophylaxis in children in the form of physical exercise, based on previous literature. The majority of research indicates physical activity has a positive effect on physiological function in children with type 1 diabetes, specifically reducing the risk of hypoglycaemia, high blood glucose level, insulin demand, and premature death.

show abstract

Benefits of physical activity in children and adolescents with type 1 diabetes: A systematic review

Cited by 56 publications

References 61 publications

Effects of combined aerobic and resistance exercise on renal function in adult patients with chronic kidney disease: a systematic review and meta-analysis

Physioprophylaxis of type 1 diabetes in children using physical exercise

Contact Info

Product

Resources

About